Provider Demographics
NPI:1447680830
Name:TRINH, MINH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MINH
Middle Name:
Last Name:TRINH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13401 MAIN ST
Mailing Address - Street 2:PHARMACY
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92345-9123
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13401 MAIN ST
Practice Address - Street 2:PHARMACY
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-9123
Practice Address - Country:US
Practice Address - Phone:760-244-7035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-21
Last Update Date:2013-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA70046183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist